Payment Integrity Professional

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Payment Integrity Professional based in the United States. This is a remote opportunity for a payment integrity professional focused on improving claim accuracy and reducing unnecessary healthcare costs. You will use advanced medical coding knowledge, claims research, and data analysis to identify and validate opportunities for more accurate claim processing. The role combines independent decision-making with close collaboration across internal teams and external coding partners. You will work extensively with Medicare and Medicaid requirements, coding standards, and industry benchmarks. Your insights will help strengthen code-editing processes and support efficient, compliant claims operations. The position offers exposure to process improvement, project leadership, and strategic operational initiatives. It is well suited to a detail-oriented, analytical professional who can communicate complex coding concepts with confidence.